MARY BLAKE BROADWAY M.A.
NPI 1073455838
Counselor - Mental Health in Knoxville, TN

Active since April 08, 2026
6708 ALBUNDA DR, KNOXVILLE, TN 37919(865) 670-0988 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Blake Broadway M.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY BLAKE BROADWAY M.A. (NPI 1073455838) is an individual mental health provider in Knoxville, Tennessee, licensed in Tennessee (8593) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1073455838
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY BLAKE BROADWAYCredential: M.A.
Location Address6708 ALBUNDA DRKnoxville, TN 37919-4803
Mailing Address3825 Washington PikeKnoxville, TN 37917-1722 · (865) 670-0988
Sole ProprietorNo
Enumeration DateApril 8, 2026
NPPES CertifiedApril 8, 2026
NPI 1073455838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in TN · 8593
6708 ALBUNDA DR, Knoxville, TN 37919

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
6708 ALBUNDA DR
KNOXVILLE, TN 37919

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Blake Broadway's NPI number?

The NPI number for Mary Blake Broadway is 1073455838. It was assigned to this individual provider in the NPPES registry on April 8, 2026.

Where is Mary Blake Broadway located?

Mary Blake Broadway practices at 6708 Albunda Dr, Knoxville, TN 37919. The listed phone number is (865) 670-0988.

What is Mary Blake Broadway's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mary Blake Broadway was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.